Comparison of Long-Term Clinical Outcomes Between Segmental and Circumferential Pulmonary Vein Isolation in Patients Undergoing Repeat Atrial Fibrillation Ablation

DOI Web Site Web Site PubMed 参考文献25件
  • Wu Shang-Ju
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Cardiovascular Center, Taichung Veterans General Hospital
  • Lo Li-Wei
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Chung Fa-Po
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Lin Yenn-Jiang
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Chang Shih-Lin
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Hu Yu-Feng
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Hsieh Yu-Cheng
    Institute of Clinical Medicine, National Yang Ming Chiao Tung University Cardiovascular Center, Taichung Veterans General Hospital College of Medicine, National Chung Hsing University
  • Li Cheng-Hung
    Institute of Clinical Medicine, National Yang Ming Chiao Tung University Cardiovascular Center, Taichung Veterans General Hospital
  • Tuan Ta-Chuan
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Chao Tze-Fan
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Liao Jo-Nan
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Lin Chin-Yu
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Chang Ting-Yung
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Kuo Ling
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Liu Chih-Min
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Liu Shin-Huei
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Wu Cheng-I
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Institute of Cardiovascular Research, National Yang Ming Chiao Tung University
  • Weng Chi-Jen
    Institute of Clinical Medicine, National Yang Ming Chiao Tung University Cardiovascular Center, Taichung Veterans General Hospital
  • Kuo Ming-Jen
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Cardiovascular Center, Taichung Veterans General Hospital
  • Li Guan-Yi
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University
  • Huang Yu-Shan
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University
  • Bautista Jose Antonio
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital
  • Siow Yoon-Kee
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital
  • Ngoc Nguyen Dinh Son
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital
  • Chen Shih-Ann
    Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital Institute of Clinical Medicine, National Yang Ming Chiao Tung University Cardiovascular Center, Taichung Veterans General Hospital Institute of Cardiovascular Research, National Yang Ming Chiao Tung University College of Medicine, National Chung Hsing University

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<p>Background: Circumferential pulmonary vein isolation (CPVI) has supplanted segmental PVI (SPVI) as standard procedure for atrial fibrillation (AF). However, there is limited evidence examining the efficacy of these strategies in redo ablations. In this study, we investigated the difference in recurrence rates between SPVI and CPVI in redo ablations for PV reconnection.</p><p>Methods and Results: This study retrospectively enrolled 543 patients who had undergone AF ablation between 2015 and 2017. Among them, 167 patients (30.8%, including 128 male patients and 100 patients with paroxysmal AF) underwent redo ablation for recurrent AF. Excluding 26 patients without PV reconnection, 141 patients [90 patients of SPVI (Group 1) and 51 patients of CPVI (Group 2)] were included. The AF-free survival rates were 53.3% and 56.9% in Group 1 and Group 2, respectively (P=0.700). The atrial flutter (AFL)-free survival rates were 90% and 100% in Group 1 and Group 2, respectively (P=0.036). The ablation time was similar between groups, and there no major complications were observed.</p><p>Conclusions: For redo AF ablation procedures, SPVI and CPVI showed similar outcomes, except for a higher AFL recurrence rate for SPVI after long-term follow-up (>2 years). This may be due to a higher probability of residual PV gaps causing reentrant AFL.</p>

収録刊行物

  • Circulation Journal

    Circulation Journal 87 (12), 1750-1756, 2023-11-24

    一般社団法人 日本循環器学会

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